TY  - JOUR
PY  - 2015//
TI  - RESPOND-a patient-centred programme to prevent secondary falls in older people presenting to the emergency department with a fall: protocol for a multicentre randomised controlled trial
JO  - Injury prevention
A1  - Barker, A. L.
A1  - Cameron, P. A.
A1  - Hill, Keith D.
A1  - Flicker, L.
A1  - Haines, T. P.
A1  - Lowthian, J. A.
A1  - Waldron, N.
A1  - Arendts, G.
A1  - Redfern, J.
A1  - Forbes, A.
A1  - Brand, Caroline A.
A1  - Etherton-Beer, C. D.
A1  - Hill, Anne-Marie
A1  - Hunter, P.
A1  - Nyman, S. R.
A1  - Smit, D.
SP  - e1
EP  - e1
VL  - 21
IS  - 1
N2  - INTRODUCTION: Participation in falls prevention activities by older people following presentation to the emergency department (ED) with a fall is suboptimal. This randomised controlled trial (RCT) will test the RESPOND programme, an intervention designed to improve older persons' participation in falls prevention activities through delivery of patient-centred education and behaviour change strategies. DESIGN AND SETTING: A RCT at two tertiary referral EDs in Melbourne and Perth, Australia. PARTICIPANTS: 528 community-dwelling people aged 60-90 years presenting to the ED with a fall and discharged home will be recruited. People who require an interpreter or hands-on assistance to walk; live in residential aged care or >50 km from the trial hospital; have terminal illness, cognitive impairment, documented aggressive behaviour or a history of psychosis; are receiving palliative care or are unable to use a telephone will be excluded. <br><br>METHODS: Participants will be randomly allocated to the RESPOND intervention or standard care control group. RESPOND incorporates (1) a home-based risk factor assessment; (2) education, coaching, goal setting and follow-up telephone support for management of one or more of four risk factors with evidence of effective interventions and (3) healthcare provider communication and community linkage delivered over 6 months. Primary outcomes are falls and fall injuries per person-year. <br><br>DISCUSSION: RESPOND builds on prior falls prevention learnings and aims to help individuals make guided decisions about how they will manage their falls risk. Patient-centred models have been successfully trialled in chronic and cardiovascular disease; however, evidence to support this approach in falls prevention is limited. TRIAL REGISTRATION NUMBER: The protocol for this study is registered with the Australian New Zealand Clinical Trials Registry (ACTRN12614000336684).<p />  <p>Language: en</p>
LA  - en
SN  - 1353-8047
UR  - http://dx.doi.org/10.1136/injuryprev-2014-041271
ID  - ref1
ER  -